cms_AK: 52

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

Data source: Big Local News · About: big-local-datasette

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
52 WRANGELL MEDICAL CENTER LTC 25015 P.O. BOX 1081 WRANGELL AK 99929 2019-04-24 947 F 0 1 FNNN11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview and policy review, the facility failed to ensure the required nurse aide training, specifically a minimum of 12 hours per year of training, was provided for the assurance of continued competence of nurse aides (#'s 1; 2, and 3) hired by the facility through a travel agency. This failed practice had the potential to affect all residents (based on a census of 12), to receive less than optimal care. Findings: Record review on 4/18/19 at 10:00 am of employee files revealed no documentation of 12 hour annual nurse aide training (to include job specific and dementia training) for 3 certified nurse aides (#'s 1; 2, and 3) out of 3 contracted travel nurse aides. During an interview on 4/18/19 at 10:25 am, the Senior Human Resource (HR) Generalist stated the facility did not have documentation that nurse aide training was completed on an annual basis. He/she stated that the contract agency may keep records of continuing education. He/she stated that the facility did not have a process for ensuring that travel nurse aides had completed a minimum of 12 hours of training, to include dementia training, annually. During an interview on 4/19/19 at 12:37 pm, the Long Term Care (LTC) Care Services Coordinator stated he/she did not have a process to track [MEDICATION NAME] training requirements to ensure competency. During an interview on 4/19/19 at 12:41 pm, the Senior HR Generalist stated that he/she called the contract agency who confirmed they did not maintain documentation that education requirements had been completed. The Senior HR Generalist further stated that there was no record that job specific training had been completed for traveling nurse aides who work in the LTC. Travel nurse aides were invited to attend facility offered trainings if staffing and/or time allowed. No additional documentation that travel nurse aides had received the required minimum of 12 hours of training including dementia training were provided by end of survey. A review of the Facility Assessment tool dated 2/22/19 & 3/8/19 did not contain any information about required nurse aide training to ensure travel nurse aide competency. A review of the Administrative Policies index provided by the DON on 4/19/19 did not contain a policy for staff training or education requirements to ensure competency in the long term care unit. 2020-09-01